Metabolic SyndromeNCT01472666
Dairy Lipids, Proteins, and the Metabolic Syndrome - "DairyHealth"
A study testing High content of MC-SFA, Whey and Low content of MC-SFA in people with Metabolic Syndrome and Type 2 Diabetes, run by University of Aarhus at 1 site in Denmark.
Trial summary
Dairy food contains a large amount of long-chain saturated fat, which traditionally has been linked to increased risk of cardiovascular disease (CVD). However, recent data indicates a more neutral role. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metabolic Syndrome, Type 2 Diabetes, Cardiovascular Disease
- What is being tested?
- High content of MC-SFA, Whey and Low content of MC-SFA
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 1 siteDenmark
- Study dates
- Oct 2011to Dec 2012
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Metabolic syndrome
- Central obesity (Waist: female ≥ 80 cm; male ≥ 94 cm)
- with two or more of the following
- Fasting triglyceride > 1.7 mmol/l
- HDL-cholesterol; male < 1.03 mmol/l, female < 1.29 mmol/l
- BP ≥ 130/85
- Fasting plasma glucose ≥ 5,6 mmol/l (but not diabetes)
- Or abdominal obesity (Waist: female ≥ 80 cm; male ≥ 94 cm)
Who cannot join
- Significant cardiovascular, renal or endocrine disease
- Psychiatric history
- Treatment with steroids
- Alcohol- or drug-addiction
- Pregnancy or lactation
Trial locations and contacts
1 site in 1 country.
About this study
Dairy food contains a large amount of long-chain saturated fat, which traditionally has been linked to increased risk of cardiovascular disease (CVD). However, recent data indicates a more neutral role. Milk fat contains large amounts of medium-chain saturated fatty acids (MC-SFA), which may have beneficial effects on human health. In addition, milk proteins and in particular whey proteins have been shown to have a beneficial effect on glucose disposal as well as anti-inflammatory properties. Therefore dairy products have a potential role in the treatment of the metabolic abnormalities of metabolic syndrome (MeS). However, human data from intervention studies are lacking.
Aims of this project is to explore and understand the influence on human health of both medium-chain saturated fatty acids from milk fat and bioactive milk proteins per se as well as their interaction and potential positive synergy on the MeS.
Read more
The investigators hypothesize that whey protein and medium-chain saturated fatty acids improve insulin sensitivity, postprandial lipid metabolism, blood pressure and inflammatory stress in humans and that they possess preventive effects on the risk of developing CVD and type 2 diabetes mellitus (T2DM).
A total of 64 people with MeS or abdominal obesity will be included. The design is a randomized double-blinded, controlled parallel diet-intervention trial.
Subjects are assigned one of four experimental diets for 12 weeks. The diets consist of either a diet with low levels of MC-SFA + whey protein (LF + whey), a diet high in MC-SFA + whey protein (HF + whey), a diet high in MC-SFA + casein protein (HF + casein) or a diets with low levels of MC-SFA + casein protein (LF + casein). The subjects are advised how to integrate the test foods in their habitual diet, which also continues unchanged. The subjects' energy intake is matched so they are kept weight stable throughout the study.
Read the detailed description
See above.
- Being tested
- High content of MC-SFA, Whey, Low content of MC-SFA, Casein
- Keywords
- Medium chain fatty acids, Saturated fatty acids, Whey protein, Casein protein, Metabolic syndrome, Type 2 diabetes, Cardiovascular disease, Dairy products, Dietary intervention
- Medical subject headings
- Metabolic Syndrome, Diabetes Mellitus, Type 2, Cardiovascular Diseases, Obesity, Abdominal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
High content of MC-SFADietary supplement
12 weeks dietary intervention
WheyDietary supplement
12 weeks dietary intervention
Low content of MC-SFADietary supplement
12 weeks dietary intervention
CaseinDietary supplement
12 weeks dietary intervention
| Study group | Role | What they receive |
|---|---|---|
| Fat rich in MC-SFA | Experimental | 63 gram milk fat with high content of MC-SFA (C6-C12=8.5 g) incorporated in rolls, muffin and as butter. Receives: Dietary Supplement: High content of MC-SFA |
| Fat low on MC-SFA | Experimental | 63 gram milkfat with low content of MC-SFA (C6-C12=6.9 g) incorporated in rolls, muffin and as butter Receives: Dietary Supplement: Low content of MC-SFA |
| Casein protein | Experimental | 60 gram casein protein (Miprodan 30) ingested twice daily with 600 ml water. Receives: Dietary Supplement: Casein |
| Whey protein | Experimental | 60 gram whey protein (Lacprodan DI-9224) ingested twice daily with 600 ml water. Receives: Dietary Supplement: Whey |
What is being measured
The primary outcome is the main question the study is designed to answer.
Postprandial triglyceride response
Compare the changes in mean difference of 6 hours incremental area under the curve (iAUC) (week 12 - week 0) between the groups and the intervention components.
Measured: Change from week 0 to week 12
Secondary outcomes (11)
24 hour blood pressure (BP)
Spacelabs, model 90207/90217, USA
Measured: Change from week 0 to week 12
Indirect calorimetry
Measured 2 times during meal test.
Measured: Change from week 0 to week 12
Dexa-scan (body composition)
Total body fat percentage, lean mass, gynoid, and android fat percentage, and total body weight.
Measured: Change from week 0 to week 12
Weight
Measured: Change from week 0 to week 12
Biomarkers in blood samples
Glucose, insulin, glucagon, HbA1c. free fatty acids, Lipid profile (total-cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride). Inflammations markers (interleukin-6 (IL-6), interleukin-10 (IL-10), interleukin-1 receptor antagonist (IL-1RA), interleukin-1 beta (IL-1b), high sensitive c-reactive protein (hs-CRP), adiponectin, monocyte chemoattractant protein-1 (MCP-1), Rantes (CCL5)). Incretins (GLP-1, GIP). Nutrigenomics. Metabolomics. Proteomics.
Measured: Change from week 0 to week 12
Waist and hip circumference
Measured: Change from week 0 to week 12
Fat tissue biopsy
Fat tissue gene expression. Twice during meal test.
Measured: Change from week 0 to week 12
Biomarkers in urine
Nutrigenomics and metabolomics
Measured: Change from week 0 to week 12
Glucose tolerance
Oral glucose tolerance test (OGTT) (with insulin and glucose measurement at time -15 min, -10 min, 0 min, 30 min, 60 min, and 120 min). Hereby calculating the homeostatic model assessment of insulin resistance (HOMA-IR) and the Matsuda index.
Measured: Change from week 0 to week 12
Dietary compliance
3-day food diary.
Measured: Change from week 0 to week 12
Postprandial apolipoprotein-48 (apoB-48), 6 hour
Meal test, blood samples at time 0,2,4 and 6 hours.
Measured: Change from week 0 to week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Nov 2011 (estimated)
- Study startOct 2011
- Primary completionDec 2012
- Study completionDec 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metabolic SyndromeStudies of the same condition, open and under way.
- More trials run by University of AarhusThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Aarhus
- Sponsor type
- University, hospital or other
- Collaborators
- Aarhus University Hospital, Arla Foods, Wageningen University, University of Dublin, Trinity College
- Responsible party
- Sponsor
- Investigators
- Kjeld Hermansen, Professor, Principal investigator, Aarhus University HospitalHanne C Bertram, Scientist, Study chair, Department of Food Science, University of AarhusLorraine O'Driscoll, Professor, Study chair, School of Pharmacy & Pharmaceutical Sciences, Trinity College Dublin, IrelandMichael Müller, Professor, Study chair, Division of Human Nutrition, Wageningen University, The Netherlands
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01472666
- Sponsor's protocol ID
- CERN-DairyHealth
- Status last verified
- Jul 2013
- First submitted
- 1 Nov 2011
- Last updated
- 1 Mar 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: No plan to share data
Publications
Bohl M, Bjornshave A, Rasmussen KV, Schioldan AG, Amer B, Larsen MK, Dalsgaard TK, Holst JJ, Herrmann A, O'Neill S, O'Driscoll L, Afman L, Jensen E, Christensen MM, Gregersen S, Hermansen K. Dairy proteins, dairy lipids, and postprandial lipemia in persons with abdominal obesity (DairyHealth): a 12-wk, randomized, parallel-controlled, double-blinded, diet intervention study. Am J Clin Nutr. 2015 Apr;101(4):870-8. doi: 10.3945/ajcn.114.097923. Epub 2015 Jan 14.
PubMed 25833983
Study at a glance
From the registry record, last updated by the sponsor on 1 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Dairy Lipids, Proteins, and the Metabolic Syndrome - "DairyHealth"
- ClinicalTrials.gov ID
- NCT01472666
- Acronym / sponsor ID
- CERN-DairyHealth
- Keywords
- Medium chain fatty acids, Saturated fatty acids, Whey protein, Casein protein, Metabolic syndrome, Type 2 diabetes, Cardiovascular disease, Dairy products
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- University of AarhusUniversity, hospital or other
- Collaborators
- Aarhus University Hospital, Arla Foods, Wageningen University, University of Dublin, Trinity College
- Study start
- Oct 2011
- Primary completion
- Dec 2012 (actual)
- Study completion
- Dec 2012 (actual)
- First posted
- 16 Nov 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Dairy food contains a large amount of long-chain saturated fat, which traditionally has been linked to increased risk of cardiovascular disease (CVD). However, recent data indicates a more neutral role. Milk fat contains large amounts of medium-chain saturated fatty acids (MC-SFA), which may have beneficial effects on human health. In addition, milk proteins and in particular whey proteins have been shown to have a beneficial effect on glucose disposal as well as anti-inflammatory properties. Therefore dairy products have a potential role in the treatment of the metabolic abnormalities of metabolic syndrome (MeS). However, human data from intervention studies are lacking.
Aims of this project is to explore and understand the influence on human health of both medium-chain saturated fatty acids from milk fat and bioactive milk proteins per se as well as their interaction and potential positive synergy on the MeS.
The investigators hypothesize that whey protein and medium-chain saturated fatty acids improve insulin sensitivity, postprandial lipid metabolism, blood pressure and inflammatory stress in humans and that they possess preventive effects on the risk of developing CVD and type 2 diabetes mellitus (T2DM).
A total of 64 people with MeS or abdominal obesity will be included. The design is a randomized double-blinded, controlled parallel diet-intervention trial.
Subjects are assigned one of four experimental diets for 12 weeks. The diets consist of either a diet with low levels of MC-SFA + whey protein (LF + whey), a diet high in MC-SFA + whey protein (HF + whey), a diet high in MC-SFA + casein protein (HF + casein) or a diets with low levels of MC-SFA + casein protein (LF + casein). The subjects are advised how to integrate the test foods in their habitual diet, which also continues unchanged. The subjects' energy intake is matched so they are kept weight stable throughout the study.
Detailed description
See above.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Fat rich in MC-SFA | Experimental | Dietary Supplement: High content of MC-SFA63 gram milk fat with high content of MC-SFA (C6-C12=8.5 g) incorporated in rolls, muffin and as butter. |
| Fat low on MC-SFA | Experimental | Dietary Supplement: Low content of MC-SFA63 gram milkfat with low content of MC-SFA (C6-C12=6.9 g) incorporated in rolls, muffin and as butter |
| Casein protein | Experimental | Dietary Supplement: Casein60 gram casein protein (Miprodan 30) ingested twice daily with 600 ml water. |
| Whey protein | Experimental | Dietary Supplement: Whey60 gram whey protein (Lacprodan DI-9224) ingested twice daily with 600 ml water. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Metabolic syndrome
- Central obesity (Waist: female ≥ 80 cm; male ≥ 94 cm)
- with two or more of the following
- Fasting triglyceride > 1.7 mmol/l
- HDL-cholesterol; male < 1.03 mmol/l, female < 1.29 mmol/l
Key exclusion criteria (5 listed)
- Significant cardiovascular, renal or endocrine disease
- Psychiatric history
- Treatment with steroids
- Alcohol- or drug-addiction
- Pregnancy or lactation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| High content of MC-SFA12 weeks dietary intervention | Dietary supplement | Fat rich in MC-SFA |
| Whey12 weeks dietary intervention | Dietary supplement | Whey protein |
| Low content of MC-SFA12 weeks dietary intervention | Dietary supplement | Fat low on MC-SFA |
| Casein12 weeks dietary intervention | Dietary supplement | Casein protein |
Primary outcome
Postprandial triglyceride response
Time frame: Change from week 0 to week 12
Compare the changes in mean difference of 6 hours incremental area under the curve (iAUC) (week 12 - week 0) between the groups and the intervention components.
11 secondary outcomes
24 hour blood pressure (BP)
Time frame: Change from week 0 to week 12
Indirect calorimetry
Time frame: Change from week 0 to week 12
Dexa-scan (body composition)
Time frame: Change from week 0 to week 12
Weight
Time frame: Change from week 0 to week 12
Biomarkers in blood samples
Time frame: Change from week 0 to week 12
Waist and hip circumference
Time frame: Change from week 0 to week 12
Fat tissue biopsy
Time frame: Change from week 0 to week 12
Biomarkers in urine
Time frame: Change from week 0 to week 12
Glucose tolerance
Time frame: Change from week 0 to week 12
Dietary compliance
Time frame: Change from week 0 to week 12
Postprandial apolipoprotein-48 (apoB-48), 6 hour
Time frame: Change from week 0 to week 12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Mar 2016.
- Derived from this study: PubMed 25833983Bohl M, Bjornshave A, Rasmussen KV, Schioldan AG, Amer B, Larsen MK, Dalsgaard TK, Holst JJ, Herrmann A, O'Neill S, O'Driscoll L, Afman L, Jensen E, Christensen MM, Gregersen S, Hermansen K. Dairy proteins, dairy lipids, and postprandial lipemia in persons with abdominal obesity (DairyHealth): a 12-wk, randomized, parallel-controlled, double-blinded, diet intervention study. Am J Clin Nutr. 2015 Apr;101(4):870-8. doi: 10.3945/ajcn.114.097923. Epub 2015 Jan 14.
- Individual participant dataSharing planned: No. No plan to share data
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kjeld Hermansen, Professor principal investigator
Aarhus University Hospital
Hanne C Bertram, Scientist study chair
Department of Food Science, University of Aarhus
Lorraine O'Driscoll, Professor study chair
School of Pharmacy & Pharmaceutical Sciences, Trinity College Dublin, Ireland
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing High content of MC-SFA, Whey and Low content of MC-SFA in people with Metabolic Syndrome and Type 2 Diabetes, run by University of Aarhus at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Postprandial triglyceride response (time frame: Change from week 0 to week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01472666, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Mar 2016.